Active NPI
Aivars Vitols, D.O.
- Orthopaedic Surgery Physician
- Dayton, OH
National Provider Identifier
1922088210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 002091
- Practice address
- 4160 Little York Rd
Suite 10
Dayton, OH 45414-5800 - Phone
- (937) 415-9100
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 34-00-2091 | OH | |
| Orthopaedic Surgery Physician | 207X00000X | 002091 | OH | Primary |
Addresses
Primary practice location
4160 Little York Rd
Suite 10
Dayton, OH 45414-5800
Mailing address
PO Box 713130
Cincinnati, OH 45271-0001
Phone (937) 415-9100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0300436 | Medicaid | OH | |
| P01216000 | Other | OH | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2091 | OH | MD | Chiropractor |
| 002091 | OH | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1922088210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713130",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452710001",
"telephone_number": "937-415-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 LITTLE YORK RD",
"address_2": "SUITE 10",
"city": "DAYTON",
"state": "OH",
"postal_code": "454145800",
"telephone_number": "937-415-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITOLS",
"first_name": "AIVARS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "34-00-2091",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "002091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0300436",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01216000",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.